Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $3,090.30	Facility		$426.58	$426.58	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $2,691.53	Professional		$309.03	$426.58	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $407.38 / $1,698.24	Facility		$323.59	$407.38	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $933.25	Professional		$436.52	$436.52	$933.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,230.27 / $1,659.59	Facility		$100.00	$1,230.27	$1,659.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,318.26 / $2,290.87	Professional		$691.83	$1,318.26	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $457.09	Facility		$331.13	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $870.96	Professional		$134.90	$169.82	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,148.15	Professional		$436.52	$645.65	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,370.32 / $5,370.32	Professional		$4,677.35	$5,370.32	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $691.83 / $954.99	Facility		$239.88	$691.83	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $758.58	Professional		$331.13	$331.13	$758.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $645.65	Professional		$134.90	$199.53	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $467.74 / $954.99	Facility		$58.88	$467.74	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $724.44	Professional		$323.59	$426.58	$724.44